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Article ; Online: Effect of the Nutritional Intervention Program on Body Weight and Selected Cardiometabolic Factors in Children and Adolescents with Excess Body Weight and Dyslipidemia: Study Protocol and Baseline Data.

Bondyra-Wiśniewska, Beata / Harton, Anna

2023 Volume 15, Issue 16

Abstract: Excess body weight and associated dyslipidemia in children and adolescents are the main risk factors for cardiovascular diseases in young adults. There is a reasonable need to develop an effective lifestyle modification program that includes various ... ...

Abstract	Excess body weight and associated dyslipidemia in children and adolescents are the main risk factors for cardiovascular diseases in young adults. There is a reasonable need to develop an effective lifestyle modification program that includes various dietary therapies. A low-glycemic index (GI) diet may be recommended in the treatment of obesity. Its use is also recognized as reasonable in cardiovascular diseases, including dyslipidemia. The aim of the presented nutritional intervention program was to evaluate the effectiveness of an energy-balanced diet based on the principal recommendation on Cardiovascular Health Integrated Lifestyle Diet-2 (CHILD-2) and low-GI products (LGI diet) in children and adolescents with excess body weight and dyslipidemia. The study involved 64 children and adolescents (44 boys and 20 girls) aged 8-16 with overweight or obesity and dyslipidemia. For 8 weeks, the participants followed a dietary treatment using two types of diets: one based on products with a low GI, and one standard therapy diet. During this time, they participated in three visits with a dietitian, during which the assessment of their current and habitual food intake was made, and anthropometric measurements and blood pressure were taken. Patients were under the care of a pediatrician who qualified them for the study and ordered lipid profile tests. This article presents the design, protocol of the nutritional intervention program, and baseline data. The collected results will be used to develop practical nutritional recommendations for children and adolescents with excess body weight and dyslipidemia.
MeSH term(s)	Male ; Female ; Young Adult ; Humans ; Adolescent ; Cardiovascular Diseases ; Body Weight ; Weight Gain ; Obesity ; Dyslipidemias/therapy
Language	English
Publishing date	2023-08-19
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu15163646
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Nutritional Education Is an Effective Tool in Improving Beverage Assortment in Nurseries in Poland.

Harton, Anna / Myszkowska-Ryciak, Joanna

Healthcare (Basel, Switzerland)

2021 Volume 9, Issue 3

Abstract: The aim of the study was to assess the impact of education on improving the assortment of beverages served in nurseries in Poland. This analysis focused on beverages served to children with meals and between meals. We examined: water, tea, juices, soft/ ... ...

Abstract	The aim of the study was to assess the impact of education on improving the assortment of beverages served in nurseries in Poland. This analysis focused on beverages served to children with meals and between meals. We examined: water, tea, juices, soft/fruit drinks, compote, milk, cocoa, and coffee substitute. The study involved 93 nurseries enrolled in the Eating Healthy, Growing Healthy project and was conducted from 2015 to 2017. Nutritional education was carried out by dieticians or nutritionists and included 24 h of lectures given to the staff of nurseries. Training was conducted in a form of workshops that were divided into 12 topics. Additionally, consultations regarding infants and young children nutrition were available to the staff. Typically, education training was completed within 1-2 months in each nursery. The effectiveness of education was verified based on data on beverage supply in 186 ten-day menus, 1860 daily inventory reports before (at baseline), and 3-6 months after staff training (post baseline). Data were analyzed in a total group, and separately for public and non-public nurseries. Statistical analyses for categorical variables were done with Chi
Language	English
Publishing date	2021-03-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare9030274
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Article ; Online: Eating Healthy, Growing Healthy: Outcome Evaluation of the Nutrition Education Program Optimizing the Nutritional Value of Preschool Menus, Poland.

Myszkowska-Ryciak, Joanna / Harton, Anna

Nutrients

2019 Volume 11, Issue 10

Abstract: Staff education can improve the quality of nutrition in childcare centers, but an objective assessment of the change is necessary to assess its effectiveness. This study evaluated the effectiveness of the multicomponent educational program for improving ... ...

Abstract	Staff education can improve the quality of nutrition in childcare centers, but an objective assessment of the change is necessary to assess its effectiveness. This study evaluated the effectiveness of the multicomponent educational program for improving the nutritional value of preschools menus in Poland measured by the change in nutrients content before (baseline) and 3-6 months after education (post-baseline). A sample of 10 daily menus and inventory reports reflecting foods and beverages served in 231 full-board government-sponsored preschools was analyzed twice: at baseline and post-baseline (in total 4620 inventory reports). The changes in 1. the supply of nutrients per 1 child per day; 2. the nutrient-to-energy ratio of menus; 3. the number of preschools serving menus consistent with the healthy diet recommendations, were assessed. Education resulted in favorable changes in the supply of energy, fat and saturated fatty acids. The nutrient-to-energy ratio for vitamins A, B
MeSH term(s)	Child Day Care Centers ; Child Development ; Child Nutritional Physiological Phenomena ; Child, Preschool ; Diet, Healthy ; Female ; Food Services ; Health Education ; Humans ; Male ; Nutritional Status ; Nutritive Value ; Poland
Language	English
Publishing date	2019-10-13
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu11102438
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Article ; Online: Impact of Lifestyle Intervention Programs for Children and Adolescents with Overweight or Obesity on Body Weight and Selected Cardiometabolic Factors-A Systematic Review.

Bondyra-Wiśniewska, Beata / Myszkowska-Ryciak, Joanna / Harton, Anna

International journal of environmental research and public health

2021 Volume 18, Issue 4

Abstract: Excessive body mass is a health problem among children and adolescents that contributes to the occurrence of lipid disorders and abnormal blood pressure. Effective treatment of excessive body mass in children is essential for the health of population in ... ...

Abstract	Excessive body mass is a health problem among children and adolescents that contributes to the occurrence of lipid disorders and abnormal blood pressure. Effective treatment of excessive body mass in children is essential for the health of population in the future. The aim of the study was to identify universal components of lifestyle interventions in children and adolescents with overweight or obesity leading to weight loss and improvement of selected cardiometabolic parameters. The review included studies from the PubMed and Google Scholar databases published in 2010-2019, which were analyzed for eligibility criteria including age of the participants, BMI defined as overweight or obese, nutritional intervention and the assessment of BMI and/or BMI z-score and at least one lipid profile parameter. Eighteen studies were included in the review, presenting the results of 23 intervention programs in which a total of 1587 children and adolescents participated. All interventions, except one, were multi-component. Data analysis suggests a relationship between a decrease in BMI and/or BMI z-score with diet and physical activity, the involvement of a dietician/nutrition specialist and physician in the treatment team and a longer duration of intervention. Moreover, it seems that a decrease in BMI is mostly associated with decreases in total cholesterol, triglycerides, low density lipoprotein cholesterol and blood pressure. No change in BMI and/or BMI z-score is associated with no change in blood pressure. Our data can be used by public health authorities to design effective weight loss programs for children and adolescents.
MeSH term(s)	Adolescent ; Body Mass Index ; Body Weight ; Cardiovascular Diseases ; Child ; Humans ; Life Style ; Obesity/epidemiology ; Obesity/therapy ; Overweight/epidemiology ; Overweight/therapy ; Pediatric Obesity/epidemiology ; Pediatric Obesity/prevention & control
Language	English
Publishing date	2021-02-20
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph18042061
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Types of Milk and/or Its Substitutes Are Given to Children (6⁻36 Months) in Nurseries in Poland: Data from the Research and Education Project "Eating Healthy, Growing Healthy".

Harton, Anna / Myszkowska-Ryciak, Joanna

International journal of environmental research and public health

2018 Volume 15, Issue 12

Abstract: The purpose of the study was to evaluate the types of milk and/or its substitutes given to children (aged 6⁻36 months) in nurseries in Poland. ...

Abstract	The purpose of the study was to evaluate the types of milk and/or its substitutes given to children (aged 6⁻36 months) in nurseries in Poland.
MeSH term(s)	Animals ; Cattle ; Child ; Child, Preschool ; Eating ; Female ; Health Promotion ; Health Surveys ; Humans ; Infant ; Infant Nutritional Physiological Phenomena ; Male ; Milk ; Milk, Human ; Nurseries ; Nutritional Status ; Poland
Language	English
Publishing date	2018-12-09
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph15122789
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Article ; Online: Eating Healthy, Growing Healthy: Impact of a Multi-Strategy Nutrition Education on the Assortments of Beverages Served in Preschools, Poland.

Myszkowska-Ryciak, Joanna / Harton, Anna

International journal of environmental research and public health

2018 Volume 15, Issue 7

Abstract: Day-care centers are the ideal place for conducting nutrition intervention to improve children’s nutrition. The aim of this study is to evaluate the effectiveness of a multi-strategy childcare-base intervention in improving compliance with nutrition ... ...

Abstract	Day-care centers are the ideal place for conducting nutrition intervention to improve children’s nutrition. The aim of this study is to evaluate the effectiveness of a multi-strategy childcare-base intervention in improving compliance with nutrition guidelines regarding beverages supply in preschools. The intervention included the staff training, audit, feedback, and ongoing support provided by trained educators. The emphasis was put on adequate nutrition, including recommended beverages, reducing sugar-sweetened beverages and increasing water availability. Enrolled were 478 full-board preschools from Poland (4.2% of all preschools in the country). The assortment of beverages served to children within ten consecutive days was assessed based on menus and inventory reports at the baseline, and three months after the intervention. Education increased significantly the percentage of preschools serving water to meals and between meals (67% vs. 83% and 93% vs. 99%, respectively), fruit/herbal tea (75% vs. 81%), and natural fruit juices (46% vs. 56%). The percentage of preschools offering fruit/soft drinks decreased from 23% to 15%. This study shows that education has a great potential in improving the assortment of beverages served in preschools. Future research is needed to determine barriers in better optimizing the assortment of beverages in preschool settings.
MeSH term(s)	Beverages/standards ; Child ; Child Day Care Centers/standards ; Child, Preschool ; Female ; Food Services/standards ; Health Education/methods ; Healthy Diet/standards ; Humans ; Male ; Nutrition Policy ; Poland ; Schools/standards
Language	English
Publishing date	2018-06-28
Publishing country	Switzerland
Document type	Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph15071355
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Impact of Nutrition Education on the Compliance with Model Food Ration in 231 Preschools, Poland: Results of Eating Healthy, Growing Healthy Program.

Myszkowska-Ryciak, Joanna / Harton, Anna

Nutrients

2018 Volume 10, Issue 10

Abstract: To ensure the adequate supply of nutrients, a model food ration (MFR) should be used for planning the menu. The purpose of the study was to determine the effects of the nutrition education program on the compliance with MFR in 231 preschools. The average ...

Abstract	To ensure the adequate supply of nutrients, a model food ration (MFR) should be used for planning the menu. The purpose of the study was to determine the effects of the nutrition education program on the compliance with MFR in 231 preschools. The average supply of food products (per child/day) with reference to the MFR was examined on the baseline and 3 to 6 months after education on the basis of 10-day menus and daily inventory reports (4620 in total). According to the recommendations, preschool should implement 70⁻75% of the recommended daily intake standards. Examined menus had too high content of meat and meat products, whereas vegetables, milk and fermented milk beverages, cottage cheese and eggs were served in scarce. Education significantly reduced the amount of meat (47.7 vs. 44.5 g), processed meat (16.2 vs. 14.4 g), sugar and sweets (15.9 vs. 14.4 g) and increased the amount of cereals, groats, rice (17.7 vs. 18.5 g), vegetables (164.3 vs. 170.8 g), milk and fermented milk beverages (200.3 vs. 209.5 g) but the compliance with the MFR remained poor. The evaluation of menus stressed the need for further modifying their composition. Education can positively affect the quality of nutrition; however, introduction of the legal nutritional regulations should be recommended.
MeSH term(s)	Child ; Child, Preschool ; Diet ; Diet, Healthy ; Eating ; Energy Intake ; Feeding Behavior ; Female ; Guideline Adherence ; Health Education ; Health Promotion/methods ; Humans ; Male ; Meals ; Menu Planning ; Poland ; Program Evaluation ; Recommended Dietary Allowances ; Schools ; Surveys and Questionnaires
Language	English
Publishing date	2018-10-04
Publishing country	Switzerland
Document type	Evaluation Study ; Journal Article
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu10101427
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Implementation of Dietary Reference Intake Standards in Preschool Menus in Poland.

Myszkowska-Ryciak, Joanna / Harton, Anna

Nutrients

2018 Volume 10, Issue 5

Abstract: Although the nutritional value of preschool menus largely determines the proper nutrition of attending children, their nutrient composition often does not meet the standards. The purpose of the study was to assess the nutritional value of menus served in ...

Abstract	Although the nutritional value of preschool menus largely determines the proper nutrition of attending children, their nutrient composition often does not meet the standards. The purpose of the study was to assess the nutritional value of menus served in preschools throughout Poland. We analyzed a sample of 10 daily menus and inventory reports reflecting foods and beverages served in 270 full-board government-sponsored preschools. Nutrient content was calculated per child per day, and compared with 70% of dietary reference intake (DRI) for children aged 1⁻3 and 4⁻6. The content of energy, protein, fat, and carbohydrates generally exceeded 70% of DRI. The amount of vitamins was correct, with the exception of vitamin D (100% of daycare centers (DCCs) were below the recommendations); in ≤3% of preschools vitamin E, folate, and niacin were below DRI. Calcium was too low in 63% of preschools for children aged 1⁻3 years and in 99% for 4⁻6-year-olds. A shortage of iodine, iron, and potassium (especially for 4⁻6-year-olds) was observed in a small number of preschools. Our study highlights the need for uniform legal standards of nutrition in childcare centers, based on the current recommendations for the age group.
MeSH term(s)	Child ; Child, Preschool ; Diet ; Dietary Carbohydrates/administration & dosage ; Dietary Fats/administration & dosage ; Dietary Proteins/administration & dosage ; Food Analysis ; Food Services ; Health Knowledge, Attitudes, Practice ; Humans ; Infant ; Meals ; Nutrition Assessment ; Nutritional Status ; Nutritive Value ; Poland ; Recommended Dietary Allowances ; Schools ; Trace Elements/administration & dosage ; Vitamins/administration & dosage
Chemical Substances	Dietary Carbohydrates ; Dietary Fats ; Dietary Proteins ; Trace Elements ; Vitamins
Language	English
Publishing date	2018-05-10
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu10050592
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Nutrition-related practices in kindergartens in the context of changes to legal regulations on foodstuffs used in canteen menus for children

Myszkowska-Ryciak, Joanna / Harton, Anna

Roczniki Panstwowego Zakladu Higieny

2018 Volume 69, Issue 1, Page(s) 31–36

Abstract: Background: In order to improve the quality of nutrition in care and educational institutions, in year 2015 a restrictive law regulation was introduced. The following year this regulation was withdrawn, and a new legal policy has been introduced. ... ...

Abstract	Background: In order to improve the quality of nutrition in care and educational institutions, in year 2015 a restrictive law regulation was introduced. The following year this regulation was withdrawn, and a new legal policy has been introduced. However, data on the impact of these legislations on nutrition in kindergartens are lacking. Objective: The aim of the study was to evaluate the compliance with mandatory nutrition recommendations in preschools. Material and methods: The study included 706 institutions. Data were collected during the periods when two consecutive Regulation of the Minister of Health were in force (I - 01.09.2015 - 31.08. 2016 and II - 01.09.2016 to 30.05.2017). Data were obtained by face-to-face interviews with staff with a validated questionnaire. Parameters characterizing the quality of nutrition were analyzed with focus on compliance with legal regulations. 706 decade’s menus and 7060 daily inventory reports were analyzed to verify information on vegetables and fruit supply, frequency of frying and type of fat used, sweetening and salting practices. Statistical significances were determined in Statistica 13.1 with t-Student and Chi2 tests (p< 0.05).The study included 706 institutions. Data were collected during the periods when two consecutive Regulation of the Minister of Health were in force (I - 01.09.2015 - 31.08. 2016 and II - 01.09.2016 to 30.05.2017). Data were obtained by face-to-face interviews with staff with a validated questionnaire. Parameters characterizing the quality of nutrition were analyzed with focus on compliance with legal regulations. 706 decade’s menus and 7060 daily inventory reports were analyzed to verify information on vegetables and fruit supply, frequency of frying and type of fat used, sweetening and salting practices. Statistical significances were determined in Statistica 13.1 with t-Student and Chi2 tests (p< 0.05). Results: The preschools have implemented regulations concerning the supply of fresh fruit and vegetables (~93%), the amount of fried dish per week (~75%), and the use of suitable frying fat (~95%). About half of institutions managed to serve vegetables and/or fruits in every meal. Compliance with the regulations on sweetening and salting was unsatisfactory: about ¼ of institutions used banned sugar, and 46% regular salt. Conclusions: Legislations influenced nutrition practices in preschools, but additional support is needed to bring all institutions into compliance with the current policies. The current law regulations are general, and allow a great flexibility in planning menus, which might has an adverse effect on menus quality. Therefore, nutrition education and more detailed mandatory nutrition standards for kindergartens are crucial.
MeSH term(s)	Child ; Child Day Care Centers/legislation & jurisprudence ; Child Day Care Centers/organization & administration ; Child Nutritional Physiological Phenomena ; Child, Preschool ; Food Services/legislation & jurisprudence ; Food Services/organization & administration ; Humans ; Menu Planning/trends ; Nutrition Policy ; Nutritional Requirements ; Nutritional Status ; Poland
Language	English
Publishing date	2018
Publishing country	Poland
Document type	Journal Article
ZDB-ID	421739-1
ISSN	0035-7715
ISSN	0035-7715
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Article: Nutrition practices in nurseries in Poland - initial results of nationwide study

Harton, Anna / Myszkowska-Ryciak, Joanna

Roczniki Panstwowego Zakladu Higieny

2018 Volume 69, Issue 1, Page(s) 23–29

Abstract: Background: Rational nutrition of infants and toddlers is essential for their normal growth and development, and for the development of proper nutritional habits. It should be preceded by proper planning.: Objective: The aim of the study was to ... ...

Abstract	Background: Rational nutrition of infants and toddlers is essential for their normal growth and development, and for the development of proper nutritional habits. It should be preceded by proper planning. Objective: The aim of the study was to evaluate of the planning and organization of nutrition in nurseries. Material and methods: In the research conducted within the program “Eating healthy, growing healthy” (EHGH), 128 crèches from all over Poland participated. The nurseries were attended by 8182 children under the age of 3. The research was carried out between 2015 and 2016. Data on the organization and quality of nutrition were collected through direct interviews with directors and / or staff responsible for feeding in crèches. In addition, analysis of the decade’s menu of the participating institutions (128 menus) and daily inventory reports (1280 documents) were analyzed. The data were analyzed for the total number and the type (public and non-public) of institution. The program Statistica Version 13.1 was used. Results: Half of the surveyed DCCs planned in the menu whole grains, nearly all of them served fresh vegetables and fruits to the children, and every third added them to every meal. The most common drink during the meal was compote. Access to water between meals was offered to children in majority of the DCCs. The quality of diet was differentiated by the type of nursery: depending on the type (public vs non-public), the differences in salting and sweetening meals have been shown. Public DCCs had a much lower average amount of money allocated per day to feed a child compared to non-public, most of these managed own kitchens and did not employ a dietitian. Despite the higher nutritional rates in non-public crèches, some errors in nutrition planning have been observed. Conclusions: Higher average amount of money allocated per day to feed a child in non-public nurseries did not provide adequate nutrition. There is a need to publish standardized, understandable and practical recommendations in nutrition of children in nurseries. Adopting such recommendations in daily practice in all public and non-public crèches should improve the nutrition of children.
MeSH term(s)	Child Development/physiology ; Child Nutritional Physiological Phenomena ; Child Welfare ; Child, Preschool ; Feeding Behavior ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Nutrition Policy ; Nutritional Requirements ; Nutritional Status ; Pediatric Obesity/prevention & control ; Schools, Nursery/organization & administration ; Socioeconomic Factors
Language	English
Publishing date	2018
Publishing country	Poland
Document type	Journal Article
ZDB-ID	421739-1
ISSN	0035-7715
ISSN	0035-7715
Database	MEDical Literature Analysis and Retrieval System OnLINE

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